• Healthcare Heroes GRANT REQUEST FORM

    For staff needs that are not covered by county funding

  • The Healthcare Hero grant is only for staff needs. Please allow 30-45 days turnaround time for your grant application. If your request is urgent, please contact the foundation at info@smchf.org or (650) 573-2655. 

    If your request is for something your department will use to help patients, use the Foundation Grant Request form.

    If it's for one specific patient, use the Caring Hands application.

  • BEFORE YOU SUBMIT

    Please confirm the following before submitting your grant request for Healthcare Heroes funding.
  • Is this something that other departments or hospital funding cannot cover?*
  • The Healthcare Heroes Committee asks that the person making the grant request be willing to give a 6-month update that explains how the funded grant had a positive impact. Do you agree to share this report with a Committee member when contacted after 6 months?*

  • GRANT DISBURSEMENT REQUEST

  • DATE NEEDED BY*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year

  • FOUNDATION USE ONLY

    Please do not fill this portion out unless you are a San Mateo County Health Foundation employee.
  • Approval Date
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Should be Empty: